Active NPI 1528176393 Individual Practitioner Female Practitioner

Dr. Connie S Ball , MD

Internal Medicine • Springboro, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Connie Ball, MD is a certified Internal Medicine practicing in Springboro, OH. With approximately 34 years of clinical experience since graduating from Wright State University Boonshoft School Of Medicine in 1992, Dr. Ball delivers high-quality medical care to the local community at 66 W CENTRAL AVE.

Dr. Ball accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, urinalysis, manual test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

66 W Central Ave

Springboro, OH 450661138

Telephone 9377485346

Fax 9377485369

Associated Practice Facility / Clinic

🏢 Connie Ball Md Llc Facility NPI 1679765663

Medicare Profile & Education

Medical School

Wright State University Boonshoft School Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Springboro, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +1.0 yrs vs City Avg

City Avg: 33.0 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

5 Specialists

Practicing in Springboro, OH (5516 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

13.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ball (34 Years) 34 Yrs

Springboro Specialty Average (33.0 Years) 33.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	57	38	$190.00	$171.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	39	$130.00	$121.26
99213 Established patient office or other outpatient visit, typically 15 minutes	36	27	$95.00	$86.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$85.00	$53.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	35	$130.00	$122.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	55	33	$190.00	$171.33
99213 Established patient office or other outpatient visit, typically 15 minutes	40	29	$95.00	$86.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	19	$85.00	$53.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	54	33	$95.00	$87.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	47	24	$190.00	$175.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	32	$130.00	$123.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	30	$77.50	$54.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	55	29	$190.00	$177.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	33	$130.00	$126.50
99213 Established patient office or other outpatient visit, typically 15 minutes	51	35	$95.00	$89.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	23	$75.00	$54.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	41	$130.00	$104.57
99213 Established patient office or other outpatient visit, typically 15 minutes	61	36	$95.00	$72.88
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	46	26	$190.00	$142.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	21	$75.00	$43.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	43	$130.00	$104.63
99213 Established patient office or other outpatient visit, typically 15 minutes	68	40	$95.00	$71.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	61	40	$190.00	$140.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	24	$75.00	$42.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	46	$130.00	$98.28
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	67	39	$190.00	$132.58
99213 Established patient office or other outpatient visit, typically 15 minutes	64	39	$95.00	$66.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	31	$75.00	$39.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	52	$130.00	$97.29
99213 Established patient office or other outpatient visit, typically 15 minutes	83	52	$95.00	$65.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	74	41	$190.00	$130.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	19	$75.00	$39.09
81002 Urinalysis, manual test	15	14	$18.00	$3.17

Medical Specialties & State Licenses

CMS Verified: 2021-08-06

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35067559

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0168894 (OH)

Commercial Insurance / Payer ID Anthem Bcbs

000000338258

Commercial Insurance / Payer ID United Healthcare

0112593

Commercial Insurance / Payer ID Humana

D67559

Commercial Insurance / Payer ID Aetna

3836999415668002

Commercial Insurance / Payer ID Caresource

363899941026

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Business Mailing Address August 06, 2021

Registered at 562 N MAIN ST, SPRINGBORO, OH 450669552 (Tel: 9377485346)

✅

NPI Profile Active June 22, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location June 22, 2009

Registered at 66 W CENTRAL AVE, SPRINGBORO, OH 450661138 (Tel: 9377485346)

📍

Updated Business Mailing Address June 22, 2009

Registered at 66 W CENTRAL AVE, SPRINGBORO, OH 450661138 (Tel: 9377485346)

👤

Provider Name / Credentials Updated June 22, 2009

Recorded as CONNIE BALL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2009

Internal Medicine (License #35067559 in OH)

🟢

Initial NPI Registration & Enumeration August 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528176393

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 29, 2006

Last Update: August 06, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

562 N Main St

Springboro, OH 450669552

Phone: 9377485346

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.